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About You

First Name

Middle Name

Last Name

Birthday

Month

Day

Year

Note: Almost all male U.S. citizens, and male immigrants living in the U.S., who are 18 through 25, are required to register with Selective Service. It's important to know that even though he is registered, a man will not automatically be inducted into the military. In a crisis requiring a draft, men would be called in sequence determined by random lottery number and year of birth. Then, they would be examined for mental, physical and moral fitness by the military before being deferred or exempted from military service or inducted into the Armed Forces.

Are You Required to Register with Selective Service?

What High School Do You Attend?

High School Classification

Have You Lived in Tennessee for at least 365 Days?

Have You Attended This TCAT Before?

Citizenship Status

Race

Contact Information

Email Address

Address

Address 2

City

State

Zip Code

Phone

Phone (Mobile)

Program Options

Program of Study

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By typing my name, I understand that withholding or giving false information requested on this form may make me ineligible for admission to the Tennessee College of Applied Technology. I certify that the information I have provided on this form for enrollment to be correct and complete.

The Tennessee College of Applied Technology is an AA/EEO employer and does not discriminate on the basis of race, color, religion, creed, ethnic or national origin, sex, sexual orientation, gender identity/expression, disability, age (as applicable), status as a covered veteran, genetic information, and any other category protected by federal or state civil rights law with respect to all employment, programs and activities sponsored by the College.